1. Home
  2. Directory
  3. Florida
  4. Bartow
  5. Social Worker
  6. NPI Profile

WALLACE MENTAL HEALTH & ADDICTION COUNSELING LLC
NPI 1730817149
Social Worker - Clinical in Bartow, FL

Active since August 12, 2022
1810 SADDLEWOOD PL, BARTOW, FL 33830(863) 529-3725 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wallace Mental Health & Addiction Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE MENTAL HEALTH & ADDICTION COUNSELING LLC (NPI 1730817149) is a healthcare organization registered as a clinical in Bartow, Florida and active in the NPI registry since August 2022. The organization lists Reginal A. Wallace, Licensed Clinician Social Worker, as its authorized official.

NPPES Registry Identity

NPI1730817149
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWALLACE MENTAL HEALTH & ADDICTION COUNSELING LLC
Location Address1810 SADDLEWOOD PLBartow, FL 33830-2917
Mailing Address1810 Saddlewood PlBartow, FL 33830-2917 · (863) 529-3725
Phone(863) 529-3725
Organization SubpartNo
Authorized OfficialReginal A. WallaceLicensed Clinician Social Worker · (863) 529-3725
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1730817149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1810 SADDLEWOOD PL, Bartow, FL 33830
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Mental Health & Addiction Counseling LLC's NPI number?

The NPI number for Wallace Mental Health & Addiction Counseling LLC is 1730817149. It was assigned to this organization in the NPPES registry on August 12, 2022.

Where is Wallace Mental Health & Addiction Counseling LLC located?

Wallace Mental Health & Addiction Counseling LLC is located at 1810 Saddlewood Pl, Bartow, FL 33830. The listed phone number is (863) 529-3725.

What is Wallace Mental Health & Addiction Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Wallace Mental Health & Addiction Counseling LLC was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.